Can interprofessional teamwork reduce patient throughput times? A longitudinal single-centre study of three different triage processes at a Swedish emergency department.

ABSTRACT: OBJECTIVE:To determine the impact on emergency department (ED) throughput times and proportion of patients who leave without being seen by a physician (LWBS) of two triage interventions, where comprehensive nurse-led triage was first replaced by senior physician-led triage and then by interprofessional teamwork. DESIGN:Single-centre before-and-after study. SETTING:Adult ED of a Swedish urban hospital. PARTICIPANTS:Patients arriving on weekdays 08:00 to 21:00 during three 1-year periods in the interval May 2012 to November 2015. A total of 185 806 arrivals were included. INTERVENTIONS:Senior physicians replaced triage nurses May 2013 to May 2014. Interprofessional teamwork replaced the triage process on weekdays 08:00 to 21:00 November 2014 to November 2015. MAIN OUTCOME MEASURES:Primary ou

SUBMITTER: Liu J 

PROVIDER: S-EPMC5914774 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature